Randolph Health Average Inpatient DRG Charge

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Cleopatra James
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1 004 Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. 244, Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc 61, Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim 17, Nervous System Neoplasms W/O Mcc 17, Degenerative Nervous System Disorders W/O Mcc 9, Intracranial Hemorrhage Or Cerebral Infarction W Mcc 21, Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs 18, Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc 15, Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc 23, Transient Ischemia W/O Thrombolytic 14, Nonspecific Cerebrovascular Disorders W Mcc 15, Nonspecific Cerebrovascular Disorders W Cc 16, Nonspecific Cerebrovascular Disorders W/O Cc/Mcc 8, Cranial & Peripheral Nerve Disorders W/O Mcc 13, Viral Meningitis W/O Cc/Mcc 14, Hypertensive Encephalopathy W/O Cc/Mcc 7, Traumatic Stupor & Coma, Coma >1 Hr W Cc 13, Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc 7, Other Disorders Of Nervous System W Mcc 14, Other Disorders Of Nervous System W Cc 9, Other Disorders Of Nervous System W/O Cc/Mcc 12, Bacterial & Tuberculous Infections Of Nervous System W/O Cc/Mcc 32, Non-Bacterial Infect Of Nervous Sys Exc Viral Meningitis W/O Cc/Mcc 8, Seizures W Mcc 11, Seizures W/O Mcc 15, Headaches W/O Mcc 15, Other Disorders Of The Eye W/O Mcc 12, Ear, Nose, Mouth & Throat Malignancy W Mcc 79, Dysequilibrium 17, Epistaxis W Mcc 21, Epistaxis W/O Mcc 14, Otitis Media & Uri W Mcc 30, Otitis Media & Uri W/O Mcc 9, Other Ear, Nose, Mouth & Throat Diagnoses W Cc 6, Other Ear, Nose, Mouth & Throat Diagnoses W/O Cc/Mcc 17, Dental & Oral Diseases W Cc 10, Dental & Oral Diseases W/O Cc/Mcc 22, Major Chest Procedures W Cc 10, Other Resp System O.R. Procedures W Mcc 49, Other Resp System O.R. Procedures W Cc 26, Pulmonary Embolism W Mcc 17, Pulmonary Embolism W/O Mcc 14, Respiratory Infections & Inflammations W Mcc 22, Respiratory Infections & Inflammations W Cc 18, Respiratory Infections & Inflammations W/O Cc/Mcc 18, Respiratory Neoplasms W Mcc 35, Major Chest Trauma W Cc 19, Pleural Effusion W Mcc 24, Pleural Effusion W Cc 12, Pulmonary Edema & Respiratory Failure 24, Chronic Obstructive Pulmonary Disease W Mcc 22, Chronic Obstructive Pulmonary Disease W Cc 18, Chronic Obstructive Pulmonary Disease W/O Cc/Mcc 13, Simple Pneumonia & Pleurisy W Mcc 21, Simple Pneumonia & Pleurisy W Cc 14, Simple Pneumonia & Pleurisy W/O Cc/Mcc 11, Interstitial Lung Disease W Mcc 40, Pneumothorax W Mcc 18, Pneumothorax W Cc 18, Pneumothorax W/O Cc/Mcc 9, Bronchitis & Asthma W Cc/Mcc 13,912

2 203 Bronchitis & Asthma W/O Cc/Mcc 10, Respiratory Signs & Symptoms 12, Other Respiratory System Diagnoses W Mcc 17, Other Respiratory System Diagnoses W/O Mcc 7, Respiratory System Diagnosis W Ventilator Support >96 Hours Or Peripheral ECMO 96, Respiratory System Diagnosis W Ventilator Support <=96 Hours 41, Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 21, Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 57, Permanent Cardiac Pacemaker Implant W Mcc 52, Permanent Cardiac Pacemaker Implant W Cc 35, Permanent Cardiac Pacemaker Implant W/O Cc/Mcc 33, Other Vascular Procedures W Cc 46, Upper Limb & Toe Amputation For Circ System Disorders W Cc 17, Acute Myocardial Infarction, Discharged Alive W Mcc 18, Acute Myocardial Infarction, Discharged Alive W Cc 11, Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc 8, Acute Myocardial Infarction, Expired W Mcc 12, Acute Myocardial Infarction, Expired W Cc 14, Acute & Subacute Endocarditis W Mcc 25, Heart Failure & Shock W Mcc Or Periph. Extracorporeal Membrane Oxygenation (Ecmo) 19, Heart Failure & Shock W Cc 17, Heart Failure & Shock W/O Cc/Mcc 12, Cardiac Arrest, Unexplained W Cc 14, Peripheral Vascular Disorders W Mcc 20, Peripheral Vascular Disorders W Cc 14, Peripheral Vascular Disorders W/O Cc/Mcc 8, Atherosclerosis W Mcc 16, Atherosclerosis W/O Mcc 20, Hypertension W Mcc 14, Hypertension W/O Mcc 12, Cardiac Congenital & Valvular Disorders W Mcc 11, Cardiac Congenital & Valvular Disorders W/O Mcc 9, Cardiac Arrhythmia & Conduction Disorders W Mcc 17, Cardiac Arrhythmia & Conduction Disorders W Cc 13, Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc 10, Angina Pectoris 16, Syncope & Collapse 13, Chest Pain 13, Other Circulatory System Diagnoses W Mcc 8, Other Circulatory System Diagnoses W Cc 13, Other Circulatory System Diagnoses W/O Cc/Mcc 16, Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc 22, Major Small & Large Bowel Procedures W Mcc 82, Major Small & Large Bowel Procedures W Cc 37, Major Small & Large Bowel Procedures W/O Cc/Mcc 30, Peritoneal Adhesiolysis W Cc 33, Peritoneal Adhesiolysis W/O Cc/Mcc 24, Appendectomy W Complicated Principal Diag W Mcc 44, Appendectomy W Complicated Principal Diag W Cc 32, Appendectomy W Complicated Principal Diag W/O Cc/Mcc 22, Appendectomy W/O Complicated Principal Diag W Cc 23, Appendectomy W/O Complicated Principal Diag W/O Cc/Mcc 23, Minor Small & Large Bowel Procedures W Mcc 40, Minor Small & Large Bowel Procedures W Cc 11, Inguinal & Femoral Hernia Procedures W Cc 17, Inguinal & Femoral Hernia Procedures W/O Cc/Mcc 15, Hernia Procedures Except Inguinal & Femoral W Cc 44, Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc 22, Other Digestive System O.R. Procedures W Cc 58, Major Esophageal Disorders W Mcc 13, Major Esophageal Disorders W Cc 15,578

3 371 Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 19, Major Gastrointestinal Disorders & Peritoneal Infections W Cc 15, Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc 12, Digestive Malignancy W Mcc 94, Digestive Malignancy W Cc 20, G.I. Hemorrhage W Mcc 22, G.I. Hemorrhage W Cc 15, G.I. Hemorrhage W/O Cc/Mcc 10, Complicated Peptic Ulcer W Mcc 29, Complicated Peptic Ulcer W Cc 17, Complicated Peptic Ulcer W/O Cc/Mcc 13, Inflammatory Bowel Disease W Cc 9, Inflammatory Bowel Disease W/O Cc/Mcc 9, G.I. Obstruction W Mcc 8, G.I. Obstruction W Cc 11, G.I. Obstruction W/O Cc/Mcc 11, Esophagitis, Gastroent & Misc Digest Disorders W Mcc 18, Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc 13, Other Digestive System Diagnoses W Mcc 15, Other Digestive System Diagnoses W Cc 14, Other Digestive System Diagnoses W/O Cc/Mcc 14, Laparoscopic Cholecystectomy W/O C.D.E. W Mcc 32, Laparoscopic Cholecystectomy W/O C.D.E. W Cc 36, Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc 25, Other Hepatobiliary Or Pancreas O.R. Procedures W Mcc 33, Other Hepatobiliary Or Pancreas O.R. Procedures W/O Cc/Mcc 24, Cirrhosis & Alcoholic Hepatitis W Mcc 24, Cirrhosis & Alcoholic Hepatitis W Cc 19, Cirrhosis & Alcoholic Hepatitis W/O Cc/Mcc 10, Malignancy Of Hepatobiliary System Or Pancreas W Mcc 54, Malignancy Of Hepatobiliary System Or Pancreas W Cc 36, Disorders Of Pancreas Except Malignancy W Mcc 30, Disorders Of Pancreas Except Malignancy W Cc 14, Disorders Of Pancreas Except Malignancy W/O Cc/Mcc 11, Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc 12, Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc 16, Disorders Of Liver Except Malig,Cirr,Alc Hepa W/O Cc/Mcc 11, Disorders Of The Biliary Tract W Mcc 55, Disorders Of The Biliary Tract W Cc 14, Disorders Of The Biliary Tract W/O Cc/Mcc 14, Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or Ext Fus W/O Cc/Mcc 61, Spinal Fusion Except Cervical W/O Mcc 62, Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc 42, Revision Of Hip Or Knee Replacement W Cc 46, Revision Of Hip Or Knee Replacement W/O Cc/Mcc 92, Major Hip And Knee Joint Replacement Or Reattach. Of Lower Extremity W Mcc Or Tot. Ankle Replacement 50, Major Hip And Knee Joint Replacement Or Reattach. Of Lower Extremity W/O Mcc 36, Cervical Spinal Fusion W/O Cc/Mcc 29, Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc 35, Biopsies Of Musculoskeletal System & Connective Tissue W Cc 27, Hip & Femur Procedures Except Major Joint W Mcc 46, Hip & Femur Procedures Except Major Joint W Cc 31, Hip & Femur Procedures Except Major Joint W/O Cc/Mcc 29, Major Joint/Limb Reattachment Procedure Of Upper Extremities 31, Knee Procedures W Pdx Of Infection W/O Cc/Mcc 24, Knee Procedures W/O Pdx Of Infection W Cc/Mcc 25, Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc 54, Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc 47, Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc 27, Soft Tissue Procedures W Mcc 75, Soft Tissue Procedures W Cc 23,070

4 502 Soft Tissue Procedures W/O Cc/Mcc 17, Foot Procedures W Cc 30, Foot Procedures W/O Cc/Mcc 27, Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc W Cc 40, Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc W/O Cc/Mcc 22, Other Musculoskelet Sys & Conn Tiss O.R. Proc W Mcc 35, Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc 55, Fractures Of Hip & Pelvis W Mcc 20, Fractures Of Hip & Pelvis W/O Mcc 13, Osteomyelitis W Mcc 25, Osteomyelitis W Cc 17, Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc 14, Connective Tissue Disorders W Cc 18, Connective Tissue Disorders W/O Cc/Mcc 8, Medical Back Problems W Mcc 58, Medical Back Problems W/O Mcc 10, Bone Diseases & Arthropathies W Mcc 15, Bone Diseases & Arthropathies W/O Mcc 16, Signs & Symptoms Of Musculoskeletal System & Conn Tissue W Mcc 18, Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc 11, Tendonitis, Myositis & Bursitis W Mcc 22, Tendonitis, Myositis & Bursitis W/O Mcc 17, Aftercare, Musculoskeletal System & Connective Tissue W/O Cc/Mcc 7, Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc 22, Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc 12, Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc 12, Skin Debridement W Mcc 20, Skin Debridement W Cc 20, Other Skin, Subcut Tiss & Breast Proc W Mcc 28, Other Skin, Subcut Tiss & Breast Proc W Cc 18, Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc 16, Major Skin Disorders W Mcc 19, Major Skin Disorders W/O Mcc 17, Malignant Breast Disorders W Cc 13, Non-Malignant Breast Disorders W/O Cc/Mcc 10, Cellulitis W Mcc 19, Cellulitis W/O Mcc 11, Trauma To The Skin, Subcut Tiss & Breast W/O Mcc 14, Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc 45, Other Endocrine, Nutrit & Metab O.R. Proc W Cc 43, Diabetes W Mcc 16, Diabetes W Cc 13, Diabetes W/O Cc/Mcc 9, Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc 20, Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc 10, Inborn And Other Disorders Of Metabolism 12, Endocrine Disorders W Mcc 16, Endocrine Disorders W Cc 15, Endocrine Disorders W/O Cc/Mcc 11, Kidney & Ureter Procedures For Neoplasm W Cc 40, Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc 21, Transurethral Procedures W Mcc 30, Transurethral Procedures W Cc 28, Transurethral Procedures W/O Cc/Mcc 14, Other Kidney & Urinary Tract Procedures W Cc 23, Renal Failure W Mcc 16, Renal Failure W Cc 12, Renal Failure W/O Cc/Mcc 12, Kidney & Urinary Tract Neoplasms W Cc 13, Kidney & Urinary Tract Infections W Mcc 12, Kidney & Urinary Tract Infections W/O Mcc 10,754

5 692 Urinary Stones W Esw Lithotripsy W/O Cc/Mcc 18, Urinary Stones W/O Esw Lithotripsy W/O Mcc 17, Kidney & Urinary Tract Signs & Symptoms W Mcc 5, Kidney & Urinary Tract Signs & Symptoms W/O Mcc 10, Other Kidney & Urinary Tract Diagnoses W Mcc 20, Other Kidney & Urinary Tract Diagnoses W Cc 16, Other Kidney & Urinary Tract Diagnoses W/O Cc/Mcc 5, Major Male Pelvic Procedures W Cc/Mcc 30, Major Male Pelvic Procedures W/O Cc/Mcc 23, Transurethral Prostatectomy W Cc/Mcc 32, Other Male Reproductive System O.R. Proc Exc Malignancy W Cc/Mcc 62, Other Male Reproductive System O.R. Proc Exc Malignancy W/O Cc/Mcc 11, Benign Prostatic Hypertrophy W/O Mcc 5, Inflammation Of The Male Reproductive System W/O Mcc 14, Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc 22, Other Female Reproductive System O.R. Procedures W Cc/Mcc 37, Malignancy, Female Reproductive System W Mcc 38, Infections, Female Reproductive System W Mcc 9, Infections, Female Reproductive System W/O Cc/Mcc 13, Cesarean Section W Cc/Mcc 13, Cesarean Section W/O Cc/Mcc 11, Vaginal Delivery W Sterilization &/Or D&C 13, Postpartum & Post Abortion Diagnoses W O.R. Procedure 17, Abortion W D&C, Aspiration Curettage Or Hysterotomy 11, Vaginal Delivery W Complicating Diagnoses 9, Vaginal Delivery W/O Complicating Diagnoses 7, Postpartum & Post Abortion Diagnoses W/O O.R. Procedure 8, Ectopic Pregnancy 33, Threatened Abortion 7, Abortion W/O D&C 7, Other Antepartum Diagnoses W Medical Complications 10, Other Antepartum Diagnoses W/O Medical Complications Neonates, Died Or Transferred To Another Acute Care Facility 2, Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15, Prematurity W Major Problems 3, Prematurity W/O Major Problems 2, Full Term Neonate W Major Problems 3, Neonate W Other Significant Problems 2, Normal Newborn 1, Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc 22, Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc 14, Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W/O Cc/Mcc 14, Red Blood Cell Disorders W Mcc 26, Red Blood Cell Disorders W/O Mcc 13, Coagulation Disorders 17, Reticuloendothelial & Immunity Disorders W Cc 18, Reticuloendothelial & Immunity Disorders W/O Cc/Mcc 7, Acute Leukemia W/O Major O.R. Procedure W Cc 21, Lymphoma & Non-Acute Leukemia W Mcc 12, Lymphoma & Non-Acute Leukemia W Cc 95, Infectious & Parasitic Diseases W O.R. Procedure W Mcc 59, Infectious & Parasitic Diseases W O.R. Procedure W Cc 32, Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc 33, Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc 18, Postoperative & Post-Traumatic Infections W Mcc 14, Fever And Inflammatory Conditions 10, Viral Illness W Mcc 14, Viral Illness W/O Mcc 11, Septicemia Or Severe Sepsis W Mv >96 Hours Or Peripheral Extracorporeal Membrane Oxygenation (Ecmo) 91, Septicemia Or Severe Sepsis W/O Mv >96 Hours W Mcc 24, Septicemia Or Severe Sepsis W/O Mv >96 Hours W/O Mcc 14,931

6 880 Acute Adjustment Reaction & Psychosocial Dysfunction 10, Organic Disturbances & Intellectual Disability 7, Alcohol/Drug Abuse Or Dependence, Left Ama 11, Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc 19, Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc 10, Wound Debridements For Injuries W Cc 15, Other O.R. Procedures For Injuries W Mcc 54, Other O.R. Procedures For Injuries W Cc 26, Other O.R. Procedures For Injuries W/O Cc/Mcc 21, Traumatic Injury W/O Mcc 12, Allergic Reactions W/O Mcc 11, Poisoning & Toxic Effects Of Drugs W Mcc 20, Poisoning & Toxic Effects Of Drugs W/O Mcc 8, Complications Of Treatment W Cc 15, O.R. Proc W Diagnoses Of Other Contact W Health Services W Mcc 120, O.R. Proc W Diagnoses Of Other Contact W Health Services W Cc 41, Signs & Symptoms W/O Mcc 9, Aftercare W Cc/Mcc 5, Other Factors Influencing Health Status 1, Other Multiple Significant Trauma W Mcc 14, Other Multiple Significant Trauma W Cc 13, Hiv W Major Related Condition W Mcc 18, Hiv W Major Related Condition W Cc 10, Hiv W Major Related Condition W/O Cc/Mcc 11, Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc 27, Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc 35, Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc 22, Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc 31, Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W/O Cc/Mcc 14,926

DRG Code DRG Description FY18 Average Charge

DRG Code DRG Description FY18 Average Charge 3 ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O $ 665,511 4 TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. $ 422,497 37 EXTRACRANIAL